Individual
MR. LUCAS EMIL STREETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8116 NW 29TH ST, BETHANY, OK 73008-4321
(405) 596-5244
Mailing address
8116 NW 29TH ST, BETHANY, OK 73008-4321
(405) 596-5244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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